Il federalismo in sanità: opportunità e rischi tra finanziamento, equità ed assistenza
Federalism in Italy arised beginning ’90, pushed bipartisanly from establishment in order to contrast the succesfull poll of northern league party. Being about 80% of the regions budget for healthcare, federalism had its hard impact on it. Regions can manage autonomously their healthcare organizatio...
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| Format: | Article |
| Language: | English |
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SEEd Medical Publishers
2005-09-01
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| Series: | Farmeconomia: Health Economics and Therapeutic Pathways |
| Subjects: | |
| Online Access: | https://journals.seedmedicalpublishers.com/index.php/FE/article/view/835 |
| _version_ | 1818940377772589056 |
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| author | Fabrizio Gianfrate |
| author_facet | Fabrizio Gianfrate |
| author_sort | Fabrizio Gianfrate |
| collection | DOAJ |
| description | Federalism in Italy arised beginning ’90, pushed bipartisanly from establishment in order to contrast the succesfull poll of northern league party. Being about 80% of the regions budget for healthcare, federalism had its hard impact on it. Regions can manage autonomously their healthcare organization, adding to the State financial resources own money earning from other their services or coming from local taxes, on condition that they provide the State LEA (Essential Level of Assistance). That means a high level of responsabilization for local government for reaching a higher level of efficiency in allocation of resources and organizational models of production and erogation of healthcare, beside a better ability to catch local healthcare demand. Even if now the sharing of State financial resources are agreed between all regions and Government, it’s not clear for the future wheter each region will have to procure its own finance, introducing many problems for those southern regions unable to substain theirselves. It has still to be defined wheter and how reach regions will have to transfer part of their resources to the poor ones. That means a risk of iniquity of level in healthcare provision among regions of the same country, generating possible social conflict. Therefore federalism now has from a hand the opportunity to better tail healthcare on each local demand and, on the other hand, it risks to introduce social disparity and conflicts. |
| first_indexed | 2024-12-20T06:38:41Z |
| format | Article |
| id | doaj.art-0f82b27a4a91400294174615be21158b |
| institution | Directory Open Access Journal |
| issn | 2240-256X |
| language | English |
| last_indexed | 2024-12-20T06:38:41Z |
| publishDate | 2005-09-01 |
| publisher | SEEd Medical Publishers |
| record_format | Article |
| series | Farmeconomia: Health Economics and Therapeutic Pathways |
| spelling | doaj.art-0f82b27a4a91400294174615be21158b2022-12-21T19:49:55ZengSEEd Medical PublishersFarmeconomia: Health Economics and Therapeutic Pathways2240-256X2005-09-016320721410.7175/fe.v6i3.835780Il federalismo in sanità: opportunità e rischi tra finanziamento, equità ed assistenzaFabrizio Gianfrate0Università di Ferrara. SIFEIT, Società Italiana per Studi di Economia ed Etica sul Farmaco e sugli Interventi Terapeutici
Federalism in Italy arised beginning ’90, pushed bipartisanly from establishment in order to contrast the succesfull poll of northern league party. Being about 80% of the regions budget for healthcare, federalism had its hard impact on it. Regions can manage autonomously their healthcare organization, adding to the State financial resources own money earning from other their services or coming from local taxes, on condition that they provide the State LEA (Essential Level of Assistance). That means a high level of responsabilization for local government for reaching a higher level of efficiency in allocation of resources and organizational models of production and erogation of healthcare, beside a better ability to catch local healthcare demand. Even if now the sharing of State financial resources are agreed between all regions and Government, it’s not clear for the future wheter each region will have to procure its own finance, introducing many problems for those southern regions unable to substain theirselves. It has still to be defined wheter and how reach regions will have to transfer part of their resources to the poor ones. That means a risk of iniquity of level in healthcare provision among regions of the same country, generating possible social conflict. Therefore federalism now has from a hand the opportunity to better tail healthcare on each local demand and, on the other hand, it risks to introduce social disparity and conflicts.https://journals.seedmedicalpublishers.com/index.php/FE/article/view/835federalism in healthcare managementhealthcare economicspharmaceutical economics |
| spellingShingle | Fabrizio Gianfrate Il federalismo in sanità: opportunità e rischi tra finanziamento, equità ed assistenza Farmeconomia: Health Economics and Therapeutic Pathways federalism in healthcare management healthcare economics pharmaceutical economics |
| title | Il federalismo in sanità: opportunità e rischi tra finanziamento, equità ed assistenza |
| title_full | Il federalismo in sanità: opportunità e rischi tra finanziamento, equità ed assistenza |
| title_fullStr | Il federalismo in sanità: opportunità e rischi tra finanziamento, equità ed assistenza |
| title_full_unstemmed | Il federalismo in sanità: opportunità e rischi tra finanziamento, equità ed assistenza |
| title_short | Il federalismo in sanità: opportunità e rischi tra finanziamento, equità ed assistenza |
| title_sort | il federalismo in sanita opportunita e rischi tra finanziamento equita ed assistenza |
| topic | federalism in healthcare management healthcare economics pharmaceutical economics |
| url | https://journals.seedmedicalpublishers.com/index.php/FE/article/view/835 |
| work_keys_str_mv | AT fabriziogianfrate ilfederalismoinsanitaopportunitaerischitrafinanziamentoequitaedassistenza |